Field Trip Registration Form

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Please carefully read and complete the entire form. We will respond as soon as possible with confirmation of your date and time! ***A valid email address is required.***

Email *

Confirm Email Address *

Name of School or Organization *

Contact Name *

City, State *

Phone Number *

Teachers/Chaperones Names *

Grade Level *

Number of Students Attending *

Number of Classes Attending *

Number of Teachers & Assistants *

Estimated Number of Parents Attending *

Will you use lunch facilities? *

Yes

Preferred Lunchtime (if using lunch facilities)?

10:00 - 10:45

10:45-11:30

11:30-12:15

12:15-1:00

1:00-1:45

Clear selection

Children can pet/feed animals? *

Yes

Time Arriving (9:00, 9:30, or 10:00)? *

Time

Date of Event (Check availability at whitakerfarm.org/calendar)

YYYY

Second choice date (in rare cases, double bookings can occur before calendar updates.) *

YYYY

Anything else we should know?

Parking is limited. Carpooling is appreciated. Chaperones please park at the top of the hill, near the fenced-in play area. If that parking area is full, you may use the parking near the greenhouse. *

I have read and agree to the parking terms

Admission *

I understand that Admission costs $12 per person (admission is also charged for accompanying siblings)

I understand that Admission includes a pint of strawberries (spring) or a pumpkin (fall)

I understand that children under 2 receive free admission, but will not receive strawberries/pumpkin

I understand that I am to check in at the small red building ("Snack Shack") inside the fenced area

I understand that cash is preferred because the mobile credit card reader can slow the check in process.

I understand that if I did not enter a VALID email address, I am not guaranteed a field trip time slot.

Required

Other Information *

I understand that the field trip is approximately 2.5 hours, including lunch

I understand that the grounds can be muddy, so sneakers or boots are recommended

I understand that I am responsible for ensuring that I and the children in my care have all necessary medications (including allergy medications)

I understand that picnic table space is limited at lunch and that children should receive priority seating.

I understand that it is my responsibility to oversee the children in my care, particularly in matters concerning safety.

Required

You can learn more about Whitaker Farm on Facebook (@Whitaker Farms) or at whitakerfarm.com *

Got it!

A copy of your responses will be emailed to the address you provided.

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